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RTF Template

District Government Muenster

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	DE_NW_05_WDA_2019_0008/24.05.03-124
2. Name of Authorisation Holder	:	Dr. Wolf, Beckelmann & Partner GmbH
3. Address(es) of Site(s)	:	Robert-Florin-Straße 1, Bottrop, 46238, Germany

4. Legally registered address of Authorisation Holder	:	Robert-Florin-Straße 1, Bottrop, 46238, Germany
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2019-03-18
10. Annexes attached	:	Annex 1 Scope of wholesale distribution authorisation Annex 2 (Optional) Address(es) of contract wholesale distribution sites and their authorisation number Annex 3 (Optional) Name(s) of responsible person(s) Annex 4 (Optional) Date of Inspection on which authorisation was granted Annex 5 (Optional) Additional provisions based on national requirements

ANNEX 1

SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION

Name and address of the site: Dr. Wolf, Beckelmann & Partner GmbH

, Robert-Florin-Straße 1, Bottrop, 46238, Germany

1. MEDICINAL PRODUCTS

1.1. with a Marketing Authorisation in EEA country(s)

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.3. Cold chain products(requiring low temperature handling)

Any restrictions or clarifying remarks (for all users): The permit is limited to the wholesale distribution of skin and hand disinfectants, infusion and perfusion solutions, test strips and contrast agents.

Die Erlaubnis ist beschränkt auf den Großhandel mit Haut- und Händedesinfektionsmitteln, Infusions- und Perfusionslösungen, Teststreifen und Kontrastmitteln.

Union Format for a Wholesale Distribution Authorisation	DE_NW_05_WDA_2019_0008/24.05.03-124
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